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TF Portrait of Tommy Fletcher

Tommy Fletcher

Guided, strengths-based therapy for life transitions

LICSW, LCSW New Mexico

Experience
10 years in practice
Focus areas
Stress, Anxiety, Trauma and abuse, Intimacy-related issues
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Tommy

Tommy Fletcher is a licensed clinical social worker practicing in New Mexico with a decade of professional counseling experience.

Background and approach

He works with adults and teens on a wide range of concerns including stress, anxiety, trauma and abuse, intimacy-related problems, self-esteem, depression, addictions, relationship and family challenges, grief, eating and sleeping issues, career transitions, and compassion fatigue.

Additional attention is given to matters such as adoption and foster care, aging and geriatric concerns, blended family dynamics, body image, codependency, communication and commitment issues, and coping with disasters or major life changes. His approach centers on recognizing clients as the experts in their own lives and building on existing strengths to shift unhelpful beliefs and patterns.

He draws from evidence-informed methods including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and Client-Centered Therapy to tailor interventions to individual needs. Tommy’s background includes many years of social work roles and experience connected to the legal system, which inform his practical and collaborative style.

He offers daytime and evening appointments Monday through Thursday and encourages people to take the courageous step of starting therapy.

Therapeutic approaches and online care



Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought patterns and behaviors. It is often used for anxiety, depression, stress, and many everyday challenges by teaching practical skills to manage symptoms and improve functioning.

Acceptance and Commitment Therapy (ACT) helps people clarify their values and build psychological flexibility by accepting difficult emotions rather than avoiding them and committing to actions that align with personal goals. This approach can be useful for coping with ongoing stress, grief, and life transitions.

Finding the right approach is part of the therapeutic process, and the therapist collaborates with each client to determine which methods fit their needs, goals, and preferences. That may mean combining elements from CBT, ACT, or client-centered techniques so the plan evolves as progress is made.

Online sessions can take place through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to attend therapy from varied locations, fit sessions into daytime or evening hours, and maintain continuity when life becomes busy or unpredictable.

Frequently asked questions

What concerns does this therapist commonly address?
He works with a broad set of issues including stress, anxiety, trauma and abuse, intimacy-related problems, self-esteem, depression, addictions, relationship and family challenges, grief, eating and sleeping difficulties, career changes, and compassion fatigue.
What is the overall therapeutic approach and style?
The style is collaborative and strengths-based, helping clients identify resources in their lives and shift unhelpful thoughts and behaviors using practical, evidence-informed methods.
How much clinical experience does the therapist have?
The therapist has 10 years of professional counseling experience and a long history in social work roles dating back to 1987, including experience connected to the legal system.
Where is the therapist licensed and located?
He is licensed in New Mexico and lists credentials as LICSW and LCSW with licence details WA LICSW LW00004883 and NM LCSW SWB-2023-0367, and practices in New Mexico.
In what languages can sessions be conducted and are international clients accepted?
Sessions are offered in English and the therapist is not currently accepting international clients.
What session formats are available for remote work?
He provides video calls, phone sessions, live chat, and text-based messaging as session format options to match client preferences and schedules.
How are costs and billing handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working with this therapist?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Also works with

AddictionsLGBTRelationship issuesFamily conflictsGriefEating disordersSleeping disordersCareer difficultiesCoping with life changesCompassion fatigue

Additional focus areas

Adoption and foster careAging and geriatric issuesAntisocial personalityBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDomestic violenceEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobia

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Jungian TherapyMindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

10+ years

Licensed

Washington, New Mexico

Languages

English